2023 Edition

Pregnancy Support Services Definition

Purpose

Individuals who participate in Pregnancy Support Services learn about parenthood, make informed decisions about their pregnancies, stay healthy, and pursue their educational and vocational goals.

Definition

Pregnancy Support Services provide education, counseling, resources, and support to individuals who are pregnant and in need of assistance, consistent with the agency's mission.

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VIEW THE STANDARDS

Note:Agencies providing only Pregnancy Options Counseling or Birth Options Counseling will complete: PA-PS 1, PA-PS 2, PA-PS 3, PA-PS 4, and PA-PS 5.


Note:Please see PA-PS Reference List for the research that informed the development of these standards.


Note:For information about changes made in the 2020 Edition, please see the PS Crosswalk.


2023 Edition

Pregnancy Support Services (PA-PS) 1: Person-Centered Logic Model

The agency implements a program logic model that describes how resources and program activities will support the achievement of positive outcomes.
NotePlease see the Logic Model Template for additional guidance on this standard.  
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • See program description completed during intake
  • Program logic model that includes a list of outcomes being measured
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel

 

PA-PS 1.01

A program logic model, or equivalent framework, identifies:
  1. needs the program will address;
  2. available human, financial, agency, and community resources (i.e. inputs);
  3. program activities intended to bring about desired results;
  4. program outputs (i.e. the size and scope of services delivered);
  5. desired outcomes (i.e. the changes you expect to see in service recipients); and
  6. expected long-term impact on the agency, community, and/or system.
Examples: Please see the W.K. Kellogg Foundation Logic Model Development Guide and COA’s PQI Tool Kit for more information on developing and using program logic models.

Examples: Information that may be used to inform the development of the program logic model includes, but is not limited to: 
  1. needs assessments and periodic reassessments; 
  2. risks assessments conducted for specific interventions; and 
  3. the best available evidence of service effectiveness.

 

PA-PS 1.02

The logic model identifies client outcomes in at least two of the following areas:
  1. change in clinical status;
  2. change in functional status;
  3. health, welfare, and safety;
  4. permanency of life situation; 
  5. quality of life; 
  6. achievement of individual service goals; and 
  7. other outcomes as appropriate to the program or service population.

Interpretation: Outcomes data should be disaggregated to identify patterns of disparity or inequity that can be masked by aggregate data reporting. See PA-PQI 5.02 for more information on disaggregating data to track and monitor identified outcomes. 

Examples: The decisions pregnant individuals make during service delivery may impact the outcomes they can be expected to achieve. For example, individuals who choose to parent their children may use parent education services and, as a result, be better prepared to raise their children. Individuals who decide to plan for adoption may experience satisfaction with their decision as an outcome of service. Other desired outcomes, such as improved health and increased educational attainment, may be relevant regardless of the decisions made about the pregnancy.

2023 Edition

Pregnancy Support Services (PA-PS) 2: Personnel

Program personnel have the competency and support needed to provide services and meet the needs of individuals who are pregnant.
Interpretation: Competency can be demonstrated through education, training, or experience. Support can be provided through supervision or other learning activities to improve understanding or skill development in specific areas.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • List of program personnel that includes:
    • Title
    • Name
    • Employee, volunteer, or independent contractor
    • Degree or other qualifications
    • Time in current position
  • See organizational chart submitted during application
  • Table of contents of training curricula
  • Procedures or other documentation relevant to continuity of care and case assignment
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
  • Review personnel files

 

PA-PS 2.01

Personnel who provide pregnancy counseling are qualified by:
  1. an advanced degree in social work or a comparable human service field and related experience; or
  2. a bachelor’s degree in social work or a comparable human service field and related experience, with supervision by a person with an advanced degree in social work or a comparable human service field.
NA The agency does not provide counseling services designed to help individuals make decisions about their pregnancies.
Examples: Related experience can include: 
  1. experience in pregnancy counseling; 
  2. experience in family and children’s services and training in pregnancy counseling; or 
  3. experience in counseling and training in pregnancy counseling.

 

PA-PS 2.02

Supervisors of personnel providing education services are qualified by:
  1. an advanced degree in education or a comparable human service field; or
  2. a bachelor’s degree in education or a comparable human service field and two years’ related experience.
NA The agency does not provide education services.

 

PA-PS 2.03

All direct service personnel are trained on, or demonstrate competency in:
  1. counseling and/or supporting individuals who are pregnant and their family members and significant others, including birth fathers;
  2. providing education on topics related to individual functioning, maternal health, and child rearing; and
  3. linking individuals to, and collaborating with, healthcare providers.

 

PA-PS 2.04

All direct service personnel providing education services in a group setting are trained on, or demonstrate competency in:
  1. engaging and motivating group members;
  2. understanding group dynamics;
  3. leading discussions; 
  4. facilitating group activities; and
  5. promoting respectful interactions.
NA The agency does not provide education services in a group setting.

 

PA-PS 2.05

The agency minimizes the number of workers assigned to persons served over the course of their contact with the agency by:
  1. assigning a worker at intake or early in the contact; and
  2. avoiding the arbitrary or indiscriminate reassignment of direct service personnel.

 

PA-PS 2.06

Employee workloads support the achievement of client outcomes and are regularly reviewed.
Examples: Factors that may be considered when determining employee workloads include, but are not limited to:
  1. the qualifications, competencies, and experience of the worker, including the level of supervision needed;
  2. the work and time required to accomplish assigned tasks and job responsibilities; and
  3. service volume, accounting for assessed level of needs of persons served.
2023 Edition

Pregnancy Support Services (PA-PS) 3: Intake and Assessment

The agency's outreach, intake, and assessment practices ensure that persons served receive prompt and responsive access to appropriate services.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Screening and intake procedures
  • Assessment procedures
  • Copy of assessment tool(s)
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 

PA-PS 3.01

In an effort to facilitate access to needed services, the agency:
  1. collaborates with other providers, or conducts community outreach, to reach individuals potentially in need of service; and
  2. ensures that its outreach efforts and materials provide an accurate description of the services offered.
Interpretation: If an agency providing counseling offers only Birth Options Counseling and thus does not provide counseling on termination, its outreach materials should clearly convey this fact to potential service recipients.

 

PA-PS 3.02

Persons served are screened and informed about:
  1. how well their request matches the agency's services; and
  2. what services will be available and when.
NA Another agency is responsible for screening, as defined in a contract.

 
Fundamental Practice

PA-PS 3.03

Prompt, responsive intake practices:
  1. gather information necessary to identify critical service needs and/or determine when a more intensive service is necessary;
  2. give priority to urgent needs and emergency situations;
  3. support timely initiation of services; and
  4. provide for referral to appropriate resources when individuals cannot be served or cannot be served promptly.

 

PA-PS 3.04

Persons served participate in an individualized, culturally, and linguistically responsive assessment that is:
  1. completed within established timeframes;
  2. updated as needed based on the needs of persons served; and
  3. focused on information pertinent for meeting service requests and objectives.

Interpretation: The Assessment Matrix - Private, Public, Canadian, Network determines which level of assessment is required for COA’s Service Sections. The assessment elements of the Matrix can be tailored according to the needs of specific individuals or service design.

2023 Edition

Pregnancy Support Services (PA-PS) 4: Service Planning and Monitoring

Each person participates in the development and ongoing review of a service plan that is the basis for delivery of appropriate services and support.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Service planning and monitoring procedures
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 

PA-PS 4.01

An assessment-based service plan is developed in a timely manner with the full participation of persons served, and includes:
  1. agreed upon goals, desired outcomes, and timeframes for achieving them;
  2. services and supports to be provided, and by whom; 
  3. procedures for expedited service planning when crisis or urgent need is identified; and
  4. the individual’s signature.

 

PA-PS 4.02

In an effort to accommodate the unique needs and circumstances of persons served:
  1. pregnant individuals are helped to explore the potential benefits and any concerns about involving family members and significant others, including the birth father, in service planning and provision; and
  2. family members and significant others, including the birth father, are involved in service planning and provision, when appropriate.
Interpretation: When the birth father or family requests counseling and the pregnant woman is opposed, the agency should either make a referral or create a separate case, as addressed in PA-PS 5.03.

 

PA-PS 4.03

The agency works in active partnership with persons served to:
  1. assume a service coordination role, as appropriate, when the need has been identified and no other agency has assumed that responsibility;
  2. ensure that they receive appropriate advocacy support;
  3. assist with access to the full array of services to which they are eligible; and
  4. mediate barriers to services within the service delivery system.

 

PA-PS 4.04

The worker and a supervisor, or a clinical, service, or peer team, review the case at designated milestones during the pregnancy, or more frequently depending on the needs of persons served, to assess:
  1. service plan implementation;
  2. progress toward achieving service goals and desired outcomes; and 
  3. the continuing appropriateness of the agreed upon service goals.
Interpretation: The agency will define what constitutes a milestone during the pregnancy. When providing Pregnancy Options Counseling or Birth Options Counseling, timeframes for review should be adjusted to reflect the length of time counseling services are offered.

When experienced workers are conducting reviews of their own cases, the worker’s supervisor must review a sample of the worker’s evaluations as per the requirements of the standard.

 

PA-PS 4.05

The worker and individual, and his or her family when appropriate:
  1. review progress toward achievement of agreed upon service goals; and 
  2. sign revisions to service goals and plans.
2023 Edition

Pregnancy Support Services (PA-PS) 5: Pregnancy Options Counseling/Birth Options Counseling

Individuals receive nondirective counseling and information services that help them make decisions about the pregnancy.
Interpretation: Agencies that offer counseling on all possible options for the pregnancy (i.e. parenting, adoption or other transfer of custody, and termination) will be considered to provide Pregnancy Options Counseling. Agencies that offer counseling only on parenting and adoption or other transfer of custody (i.e. not on termination) will be considered to provide Birth Options Counseling, and will be rated according to slightly different criteria for standards PA-PS 5.01, PA-PS 5.02, and PA-PS 5.07. See those standards for further guidance.
NA The agency does not provide counseling services designed to help individuals make decisions about their pregnancies.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Outreach materials describing the type of counseling offered
  • Procedures for maintaining confidentiality when involvedparties are counseled separately
  • Procedures for referring individuals to services
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 
Fundamental Practice

PA-PS 5.01

Individuals have the option to be counseled and fully-informed about all possible options for the pregnancy.
Interpretation: Possible options for the pregnancy include parenting, planning for adoption or other transfer of custody, and termination. 

When an agency offers only Birth Options Counseling, and thus does not provide counseling and information related to termination, the agency should: 
  1. disclose this fact to service recipients, as referenced in PA-PS 3.01 and CA-PS 3.02; and 
  2. be prepared to demonstrate that it carefully considered its mission, capacity, resources, influence on the individual’s decision making, and community’s needs when it decided not to provide counseling on all alternatives for pregnancy resolution.
When this is the case practice could include providing individuals with a comprehensive list of other community providers that offer pregnancy counseling, support, and education services.

 
Fundamental Practice

PA-PS 5.02

Counseling is nondirective and nonjudgmental, and helps individuals make the best decisions for their particular circumstances.
Interpretation: Although agencies that offer only Birth Options Counseling will not provide counseling on termination, they should still provide nondirective and nonjudgmental counseling regarding parenting and adoption or other transfer of custody.

 
Fundamental Practice

PA-PS 5.03

When family members or significant others, including the birth father, are involved in counseling services:
  1. all parties have opportunities to explore their individual feelings and needs; and
  2. confidentiality is protected at all times, if parties are counseled separately.
Interpretation: When the birth father or family requests counseling and the pregnant woman is opposed, the agency should make a referral or create a separate case. When a separate case is created, confidentiality must be protected at all times.
Examples: When an agency provides joint counseling, it may be appropriate to offer both joint and individual counseling in order to ensure that counseling parties together does not inhibit a full exploration of individuals’ feelings. 

 

PA-PS 5.04

Individuals have the opportunity to receive information and counseling regarding the implications of parenting that addresses:
  1. responsibilities associated with parenting;
  2. child care;
  3. living arrangements;
  4. costs associated with raising a child;
  5. how parenting will impact the expectant parents’ goals and plans for the future;
  6. whether family members or friends will be willing to help the expectant parents;
  7. the role that the birth father will play; and
  8. single parenting or the possibility of marriage.

 

PA-PS 5.05

Individuals have the opportunity to receive information and counseling regarding the implications of adoption or other transfer of custody that addresses:
  1. types of available adoption and guardianship services, and the range of openness in adoption;
  2. parents’ legal rights and the rights termination process;
  3. financial assistance that may be available;
  4. separation from the child, and grief and loss;
  5. long-term implications of the decision; and
  6. making plans for the immediate future.

 

PA-PS 5.06

Individuals have the opportunity to receive information and counseling regarding the implications of termination that addresses:
  1. attitudes toward pregnancy termination, including personal religious beliefs;
  2. emotional issues related to grief and loss, and the finality of the decision;
  3. types of procedures available;
  4. costs of the procedure; and
  5. legal issues for minors (such as parental notification, parental consent, and judicial bypass), if applicable.
NA The agency provides only Birth Options Counseling.

 

PA-PS 5.07

Individuals are helped to carry out their decisions about the pregnancy and obtain any other needed services, directly or by referral.
Interpretation: Individuals may need prenatal care, parent education, adoption services, or termination services to carry out their decisions about the pregnancy. Agencies that offer only Birth Options Counseling, and thus do not provide linkages to termination services, should disclose this fact to service recipients, as referenced in PA-PS 5.01.
Examples: Other needed services can include, but are not limited to, health, educational, vocational, and housing services.

 
Fundamental Practice

PA-PS 5.08

To help individuals stay healthy and prevent subsequent unintended pregnancies, the agency:
  1. provides information and education about the prevention and treatment of diseases, including HIV/AIDS and other sexually transmitted diseases;
  2. provides information and education about pregnancy prevention, pregnancy planning, and the spacing of children; and
  3. links individuals to family planning services.
Interpretation: When an agency does not provide linkages to family planning services because doing so is counter to its mission, the agency should disclose this fact to service recipients and provide individuals with a list of other community providers that offer pregnancy support and education services.

Note: When an agency also provides Health Services to expectant parents, the implementation and rating of this standard may overlap with the implementation and rating of PA-PS 6.04.

2023 Edition

Pregnancy Support Services (PA-PS) 6: Health Services

Expectant parents are linked to the health services necessary to promote parent well-being, healthy births, and healthy child development.
NA The agency provides only Pregnancy Options Counseling or Birth Options Counseling.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Procedures for referring individuals to services
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 
Fundamental Practice

PA-PS 6.01

Expectant parents are linked to the following healthcare services, as appropriate to their needs:
  1. prenatal health care;
  2. genetic risk identification and counseling services;
  3. labor and delivery services;
  4. diagnosis and treatment of health problems, including sexually transmitted diseases;
  5. dental care;
  6. mental health care, including information, screening, and treatment for postpartum depression;
  7. postpartum care;
  8. ongoing health care, including routine medical checkups; and
  9. pediatric care, including well-baby visits and immunizations.

 
Fundamental Practice

PA-PS 6.02

Expectant parents are helped to access other services needed to promote parental well-being and healthy births, including, as appropriate:
  1. food and nutrition services;
  2. smoking cessation services; and
  3. services for substance use conditions.

 

PA-PS 6.03

Expectant parents are helped to sign up for health insurance when coverage is available and receive information about other options for care, such as free clinics, when insurance coverage is not available.

 
Fundamental Practice

PA-PS 6.04

To help expectant parents stay healthy and prevent unintended subsequent pregnancies, the agency:
  1. provides information and education about the prevention and treatment of diseases, including HIV/AIDS and other sexually transmitted diseases;
  2. provides information and education about pregnancy prevention, pregnancy planning, and the spacing of children; and
  3. links expectant parents to family planning services.
Interpretation: When an agency does not provide linkages to family planning services because doing so is counter to its mission, the agency should disclose this fact to service recipients and provide individuals with a list of other community providers that offer pregnancy support and education services.

Note: When an agency also provides Pregnancy Options Counseling or Birth Options Counseling, the implementation and rating of this standard may overlap with the implementation and rating of PA-PS 5.08.

2023 Edition

Pregnancy Support Services (PA-PS) 7: Education Services

Educational and skill-building activities help expectant parents gain confidence in their abilities, reach their highest level of personal functioning, experience healthy births, prepare for parenthood, and develop their sense of choice and empowerment.
NA The agency provides only Pregnancy Options Counseling or Birth Options Counseling.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Table of contents of educational curricula
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 

PA-PS 7.01

Expectant parents are educated and counseled about positive personal development and self-sufficiency, including:
  1. personal growth and maturity;
  2. interpersonal relations and communication;
  3. future goals and aspirations, including those related to education and employment;
  4. managing and coping with stress, including stress related to the pregnancy;
  5. problem-solving and decision-making;
  6. time, budget, and household management; and
  7. effectively using available community resources.

 

PA-PS 7.02

Expectant parents are educated about the following prenatal health topics:
  1. fetal growth and development;
  2. the importance of prenatal care;
  3. nutrition and proper weight gain;
  4. appropriate exercise;
  5. medication use during pregnancy;
  6. effects of tobacco and substance use on fetal development;
  7. what to expect during labor and delivery; and
  8. benefits of breastfeeding.
Interpretation: These topics may be addressed by qualified medical personnel in the context of the prenatal health care referenced in PA-PS 6.01.

 

PA-PS 7.03

Expectant parents are educated about the following child development and child-rearing topics:
  1. caring for newborns, infants, and young children;
  2. environmental safety and injury prevention, including safe practices for sleeping and bathing;
  3. health and nutritional needs of newborns, infants, and young children;
  4. child growth and development, including physical, cognitive, and social development;
  5. parent-child interactions and bonding; and
  6. age-appropriate behavioral expectations and disciplinary strategies.
NA The agency does not serve expectant parents who plan to parent their children.

 

PA-PS 7.04

Education services:
  1. describe the topics and practices being addressed, and explain why they are important;
  2. model the practices and skills being targeted; 
  3. include opportunities for active engagement and experiential learning, such as coaching and role modeling;
  4. help parents to personalize the information they are taught; and
  5. are provided in a safe environment that does not punish mistakes.

 

PA-PS 7.05

When education is provided in a group setting, participants have opportunities to:
  1. contribute by asking questions and sharing their experiences;
  2. listen to and learn from those who are similar to and different from themselves;
  3. develop positive relationships with others; and
  4. participate in activities of interest.
NA The agency does not provide education services in a group setting.

 

PA-PS 7.06

When education is provided in a group setting, services:
  1. are designed to respond flexibly to the changing needs of group members; 
  2. are scheduled with participants’ time commitments in mind; and
  3. include opportunities for participants to meet individually with personnel, as needed.
NA The agency does not provide education services in a group setting.
2023 Edition

Pregnancy Support Services (PA-PS) 8: Promoting Positive Life Course Development

Expectant parents are linked to formal and informal supports and services that can increase self-sufficiency and life options.
NA The agency provides only Pregnancy Options Counseling or Birth Options Counseling.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Procedures for referring individuals to services
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 

PA-PS 8.01

To promote life options and economic self-sufficiency, expectant parents are helped to locate and enroll in educational or vocational programs that are appropriate to their needs, interests, and abilities.

 

PA-PS 8.02

When current living arrangements are not suitable, expectant parents are helped to find new living arrangements for both during and after the pregnancy.
Examples: Appropriate arrangements can include living: 
  1. independently;
  2. with family members, including the extended family; 
  3. in foster homes;
  4. in group homes; or 
  5. in residential care.

 

PA-PS 8.03

Expectant parents are helped to access other community services needed to support positive life course development, including, as appropriate:
  1. child care;
  2. transportation services;
  3. financial assistance;
  4. legal services; and
  5. domestic violence, sexual abuse, or sexual assault services.

 

PA-PS 8.04

Expectant parents receive social and emotional support directly from personnel and are helped to develop and expand their informal support networks by:
  1. maintaining and strengthening their relationships with family members and the birth father, as appropriate; and
  2. building connections with friends, neighbors, community members, and community institutions.

 

PA-PS 8.05

After delivery, parents without an alternative are helped to place their children in temporary foster care if they need time to establish homes or consider other plans for their children and themselves.
NA The agency does not assist parents in placing their children in temporary foster care.
2023 Edition

Pregnancy Support Services (PA-PS) 9: Case Closing and Aftercare

The agency works with persons served and family members, when appropriate, to plan for case closing and, when possible, to develop aftercare plans.
NA The agency provides only Pregnancy Options Counseling or Birth Options Counseling.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study Evidence On-Site Evidence On-Site Activities
  • Case closing procedures
  • Aftercare planning and follow-up procedures
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 

PA-PS 9.01

Planning for case closing:
  1. is a clearly defined process that includes assignment of staff responsibility;
  2. begins at intake; and
  3. involves the worker, persons served, and others, as appropriate to the needs and wishes of the service recipient.

 

PA-PS 9.02

Upon case closing, the agency notifies any collaborating service providers, as appropriate.

 

PA-PS 9.03

If an individual has to leave the program unexpectedly, the agency makes every effort to identify other service options and link the person with appropriate services.
Interpretation: The agency must determine on a case-by-case basis its responsibility to continue providing services to persons whose third-party benefits are denied or have ended and who are in critical situations.

 

PA-PS 9.04

When appropriate, the agency works with service recipients and their family to:
  1. develop an aftercare plan, sufficiently in advance of case closing, that identifies short-and long-term needs and goals and facilitates the initiation or continuation of needed supports and services; or
  2. conduct a formal case closing evaluation, including an assessment of unmet need, when the agency has a an interagency agreement that does not include aftercare planning or follow-up.

 

PA-PS 9.05

The agency follows up on the aftercare plan, as appropriate, when possible, and with the permission of persons served.
NA The agency has an interagency agreement that does not include aftercare planning or follow-up.
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